- Practice location
- 1550 NE 27TH St Ste 100, Bend, OR 97701-7760
- Phone
- 541-313-8111
- Fax
- 541-313-8111
- Last updated
- October 29, 2021
James Robert Ballard is a Healthcare Provider based in Bend, OR. James Robert Ballard practices in Bend, OR and has the professional credentials of MD. The NPI Number for James Robert Ballard is 1134324528 and holds a License No. 289654-1205 (UT). The current practice location address for James Robert Ballard is 1550 NE 27TH St Ste 100, Bend, OR 97701-7760 and can be reached out via phone at 541-313-8111 and via fax at 541-313-8111.
Provider Profile Details
- NPI Number
- 1134324528
- Provider Name
- James Robert Ballard
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1550 NE 27TH St Ste 100, Bend, OR 97701-7760
- Phone Number
- 541-313-8111
- Fax Number
- 541-313-8111
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2007
- Last Update Date
- October 29, 2021
- Certification Date
- November 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1550 NE 27TH St Ste 100
Bend, OR 97701-7760 - City
- Bend
- State
- Oregon
- Zip
- 97701-7760
- Phone Number
- 541-313-8111
- Fax Number
- 541-313-8111
Provider Business Mailing Address Details
- Address
- 1550 NE 27TH St Ste 100
Bend, OR 97701-7760 - City
- Bend
- State
- OR
- Zip
- 97701-7760
- Phone Number
- 541-313-8111
License Information
- License Number (1)
- 289654-1205
- License State (1)
- UT
- License State (2)
- OR
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- MD197064
- License State (3)
- OR
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of James R Ballard, MD?
The NPI number of James R Ballard, MD is 1134324528. It was assigned on June 18, 2007 and is currently active in the NPPES registry.
What is the specialty of James R Ballard, MD?
James R Ballard, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in UT under license number 289654-1205.
Where does James R Ballard, MD practice?
The practice location is 1550 NE 27TH St Ste 100, Bend, OR 97701-7760. The office can be reached at 541-313-8111 (phone) or 541-313-8111 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134324528 directly on the NPPES registry website.